If there's one time to brag about being a runner, it's at the doctor's office—especially when your appointment includes blood or urine analyses. "Let your physician know if you're exercising heavily, and also how often and how recently you did tough workouts; it can influence how we interpret tests," says William Roberts, M.D., a family physician and medical director for the Twin Cities Marathon. If you recently ran hard—or even ran to your appointment, which Dr. Roberts's patients have been known to do—your doc might elect to reschedule some lab work. Here's a quick report of some running-influenced workups.
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Creatine Kinase (CK)
Tells your doctor: Whether you've had a heart attack or other type of muscle breakdown; often done if you've experienced unexplained muscle pain or weakness or chest pain or tightness.
Running's effects: Tough runs—especially ones that incorporate lots of downhills, which cause more microtears in your muscle fibers—can elevate these levels for a day or two, which isn't typically a cause for concern (here's how you can recover from a tough race). However, it may make it impossible for your doctor to tell if you've also sustained muscle damage from a heart problem or as a side effect of medications like statins. He or she may want to repeat the test at another time.
More: 7 Essential Strength Training Exercises for Runners
Creatinine with eGFR
Tells your doctor: How well your kidneys are functioning; often done when you experience fatigue or trouble sleeping.
Running's effects: Too much ibuprofen or other anti-inflammatories can damage your kidneys; abnormal results on this test could mean you should cut back.
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Tells your doctor: The levels of sodium, potassium and other electrolytes in your blood; sometimes done as part of a regular check-up or to monitor diabetes or heart conditions.
Running's effects: A workout can leave you temporarily depleted, so if your complaint isn't running-related, it may be best to do this test another time. However, if you frequently develop post-run headaches, your doctor may ask you to run before your appointment—if your levels are very low afterward, you may be overhydrating. (Plus, don't forget these Top 8 Hydration Myths.)
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